A message from a PT

       I have had the pleasure  of  knowing Stacey Menz since  fall  2011.    For those of  you who do not know  Stacey is a PT  based   in the same town  that I   grew up  in.  I  wish I had her for  PT when I was younger  because she is really good.  Stacey works  at  Starfish Therapies. I asked her  to  write a post about  CP  and she did  so without further ado here  is the post on  CP

 this  little  guy  will be  the star of a video at the end of the post 

Every person with cerebral palsy looks differently not just in terms of their physical appearance (just like any other person) but also in terms of what they can do really easily and what they have a really hard time doing. This is because it depends on the area of the brain that was affected. Each area controls different parts of the body so it would make sense that an injury in one area of the brain will have a different affect than an injury in a different area of the brain. Despite these differences there are similarities that are important to consider when assisting a person with cerebral palsy to achieve their goals in life, whatever those goals may be.

 Me as a middle schooler with   book gal in   the backround

The similarity I am going to chat about is that for a person with cerebral palsy to learn a new skill whether it is how to walk, how to talk, how to write, etc, it takes a lot of practice. In this way it is no different than someone who is learning how to play the piano or to shoot a basketball or write cursive. All new skills take practice and repetition until they become more second nature. With new skills, each piece of the skill requires conscious thought. Remember the first time you learned to drive a car. You had two hands on the steering wheel, you were sitting upright and barely dared to breath. The radio wasn’t on because it might distract you, and the person who was in the passenger seat wasn’t allowed to so much as whisper. It took all your thought and concentration to move the car out of the driveway and down the road. Now, after countless hours and miles of practice think about all the things you do in the car. I’m sure all of us have at some point and time driven somewhere, parked and thought ‘how did I get here.’ Driving has become automatic and we don’t have to think about every little nuance anymore, unless the conditions change and then we are on higher alert.

 My  mom  me and book gal I did PT when I was this small

This is how learning every movement is for a person with cerebral palsy. Each motion or activity requires constant thought. Nothing is automatic. So not only is going about the day physically exhausting for a person with cerebral palsy because of the extra energy they have to expend to create movement or speech, it can also be mentally exhausting if they have to consciously tell their brain to tell their body each motion and movement.


This is where the practice comes in. The more a person practices an activity the easier it has the potential to become. And, the more the activity is broken down into small pieces and each piece is mastered and then put back together as a whole, the easier the activity has the potential to become. I have seen this in many cases. I have a kiddo where we are working on walking without assistive devices. He is able to do it for short periods but he needs to think about each step and think about his balance after each step. He has a hard time shifting his weight onto one foot so he can lift the other and will often lean out to the side to make this easier, but that then makes keeping his balance harder. So we will take lots of time to practice shifting his weight to one side and then the other while keeping his head and trunk up straight. After we practice that piece he gets to practice walking a short distance and he finds it just a little bit easier to shift his weight, take a step and keep his head and trunk up so that he has an easier time keeping his balance.
Every time a skill is practiced it is reinforcing the pathway that sends the message from the brain to the muscles. The more this road is used, the more efficient it becomes which also helps skills to become more automatic.

I inspire greatness

The take-away message is that practice and repetition are good. But I also hope you understand how much effort goes into a person with cerebral palsy learning each new skill and movement. Not just the physical effort, but the mental effort. I am amazed every day by the determination and will of the people I work with. They inspire me to work harder. I hope they inspire you.